A service evaluation to assess participation and to establish the potential therapeutic value of a novel online cardiac rehabilitation programme specifically for participants with chronic heart failure
What we are doing:
- The purpose of this project is to test this online module embedded within the existing online cardiac rehabilitation (CR) programme.
- The CR department has developed a HF module for a web-based programme that will endeavour to improve the patient’s health, prevent ill health and offer patients with the diagnosis of HF a wider choice of rehabilitation.
- We will collect pre-post data form patients who choose to follow the web-based programme. This will include all our routine measures of cardiovascular risk, exercise capacity, health related quality of life and patient knowledge.
Why we are doing it:
- Chronic heart failure (CHF) presents a significant burden to the NHS and to the individual. Patients with CHF are characterised by reduced exercise capacity, fatigue and breathlessness that persists despite optimal medical management.
- In the UK, CR is endorsed by all national guidelines, including the NICE Clinical Guideline 108 on CHF.
- The most recent Cochrane Review on exercise-based rehabilitation for CHF reported that exercise training programmes provide important improvements in health-related quality of life. CR is associated with a reduction in morbidity and a 28-56% reduction in costly re-admissions in CHF.
What the benefits will be:
- Despite national guidance for CR, National provision and uptake are poor and these are amplified further for those with CHF, amounting to just 4% of the CR population (n=3364).
- It is proposed that the service evaluation will be help to beneficial to those patients who have declined attending HF rehabilitation previously (for example; travel, dislike of groups) but more importantly offering patients an alternative choice, which is better suited to their lifestyle needs.
Who we are working with:
- Leicester, Leicestershire and Rutland (LLR) Sustainability and Transformation Plan (STP) team representing the local clinical commissioning groups (CCGs)
East Midlands Academic Health Science Network (EM AHSN) and strong links with the NW London CLAHRC and West Midlands CLAHRC. University Hospitals of Leicester (UHL) NHS Trust.
- Centre for Exercise and Rehabilitation Science (CERS) Patient and Public Involvement (PPI) Group
- NIHR Leicester Biomedical Research Centre (BRC)
- East Midlands National Centre for Sport & Exercise Medicine (EM-NCSEM)
Via co-applicants and collaborators on this project.
Name: Nikki Gardiner
Role: Clinical Lead for Cardiac & Pulmonary Rehabilitation
Organisation:University Hospitals of Leicester NHS Trust